Traumatic Interhemispheric Subdural Hematoma Presenting the Falx Syndrome after Decompressive Craniectomy: A Case Report

Abstract

Interhemispheric subdural hematoma (ISH) had been considered very rare until identification with image studies, such as brain computed tomography (BCT) and magnetic resonance imaging (MRI). There are still some controversies in the management ISH, will be treated surgically or medically. We present one case of traumatic ISH which showed the falx syndrome after decompressive craniectomy for convexity subdural hematoma and was treated surgically with good outcome. Surgical treatment should be considered for symptomatic ISH patient, because ISH did not migrate over the convexity, as showed in our case. (J Kor Neurotraumatol Soc 2008;4:93-96)